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Dr Lorelei Jones

Senior Lecturer in Health Sciences (Healthcare Organisation & Governance)

lorelei.jones@bangor.ac.uk

+44 1248 382238

0000-0002-7737-5981

Dr Lorelei Jones

View Dr Lorelei Jones’s profile on the Bangor Research Portal

Overview

I am a medical anthropologist interested in organisation, professions and care practices.

My research is on the social organisation of healthcare, including: 

  • The quality and safety of hospital care
  • Medical leadership, innovation and organisational change
  • Systems leadership, collaboration and integrated care 
  • Policy implementation and evaluation

My research is multidisciplinary and translational (theory into practice). I work with the Betsi Cadwaladr University Health Board to develop healthcare professionals and services in North Wales and contribute to international learning.

I am a Fellow of the Royal Anthropological Institute, a Fellow of the Higher Education Academy, an executive member of the Society for Studies in Organising Healthcare, and a member of the Scientific Committee for the international conference on Organisational Behaviour in Health Care. I am on the editorial board of the International Journal of Health Governance, and the Journal of Health Organisation and Management. 

Welsh Crucible Future Research Leaders Fellow

Blogs

How do medical directors improve care? Through ‘translation work’, ‘diplomatic work’, and ‘repair work'

Anthropology, healthcare, and healthcare improvement

Why social science can help us better understand organisational change in healthcare

Governments want healthcare staff to change patients' behaviour - but that's unlikely to work

Additional Contact Information

lorelei.jones@bangor.ac.uk

Research Interests

Current projects:

(i) The Response Study

Study funded by the NIHR evaluating the implementation of the Patient Safety Incident Response Framework. 

Overall Research Aim: To explore the implementation of a new national patient safety policy, the Patient Safety Incident Response Framework (PSIRF), within the English NHS across the multiple layers of the regulatory and health service context, to understand how to support future patient safety policy development and implementation.

Background: Large numbers of patients continue to be harmed as a result of safety incidents, and current approaches to responding to and learning from safety incidents are increasingly questioned for their effectiveness in reducing harm. Many types of incident are frequently repeated across the NHS and organisations struggle to implement policies to improve safety and share learning. As a result, NHS England is launching a new national policy framework (PSIRF) that has far-reaching implications at all levels of healthcare by seeking to create incident response and learning processes that are more proactive, proportionate, flexible, learning-focused, equitable and fair. The launch of PSIRF offers a unique opportunity to explore and learn from the real-time implementation of a new national patient safety policy, including the logics and objectives underlying the policy, how the policy is interpreted and enacted across a range of stakeholder groups, what the policy changes and improves, and what lessons might be learned for future policy design and implementation.

Methods: This multilevel, mixed-methods evaluation will explore PSIRF implementation nationally with a longitudinal survey and documentary analysis, and organisationally through in-depth ethnography at six case study organisations from three NHS regions.

More information

(ii) How do chief medical officers understand, experience and carry out new system leadership roles (ICS CMO) and what impact do they have?

Research funded by the Faculty of Medical Leadership and Management

Read our first publication here:

Role of medical leaders in integrated care systems: What can be learnt from previous research? 

(ii) Evaluation of General Dental Services Reform in Wales

Funded by Welsh Government

System reform in NHS general dental services in Wales aims to embed needs-led and value-based healthcare principles in dental care delivery. The key policy objectives are to: 

  • Improve the oral health of the population
  • Address persistent inequalities in health and access to dental services
  • Sustain, develop, and value clinical teams
  • Make efficient use of available resources by increasing the use of skill mix

The GDS reform programme is based on action-learning. Learning from the evaluation will be used for future policy development and implementation.

The evaluation is based on the principles of public value evaluation. Data collection and analysis, incorporating literature reviews, document analysis, qualitative interviews, visual ethnography, and vignettes, have elicited the views and experiences of multiple stakeholders at different levels in the system:

  • national policy teams
  • local health board teams
  • dental practice teams
  • NHS dental patients and members of the public

The aim of the current phase of the evaluation is to (April 2022 – September 2023) is to capture learning in three areas: development and implementation in practice; innovation and improvement; recovery and adaptation.

Evaluation of GDS reform website

Postgraduate Project Opportunities

I welcome proposals from students interested in applying and developing social science perspectives and theories in health care.

Publications

2024

  • PublishedEvaluation of the NHS General Dental Services Contract Reform Programme in Wales
    Jones, L., Overs, E., Woods, C., Mostaghim, M. & Jones, A. W., Jan 2024, Prifysgol Bangor University. 90 p.
    Research output: Book/Report › Commissioned report › peer-review
  • PublishedPatient-activated escalation in hospital: patients and their families are ready!
    Subbe, C. P., Phillips, A. V. & Jones, L., 13 Dec 2024, In: BMJ Quality & Safety. 34, 1, p. 4-7 4 p.
    Research output: Contribution to journal › Editorial › peer-review

2023

  • Published“Attending to Collaboration” in Major System Change in Healthcare in England: A Response; Comment on “Attending to History” in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration
    Fraser, A., Jones, L., Lorne, C. & Stewart, E., Feb 2023, In: International Journal of Health Policy and Management. 12, 1, p. 7661 3 p.
    Research output: Contribution to journal › Comment/debate › peer-review
  • E-pub ahead of printGoverning health care: the uses and limits of governmentality in the National Health Service in England
    Jones, L., 2 Oct 2023, (E-pub ahead of print) In: Anthropology and Medicine. 18 p.
    Research output: Contribution to journal › Article › peer-review
  • PublishedUsing arts-based research in applied health care: An example from an evaluation of NHS dental contract reform in Wales
    Overs, E., Woods, C., Williams, L., Williams, S., Burton, C., Jones, L. & Brocklehurst, P. R., Jul 2023, In: Journal of Health Services Research and Policy. 28, 3, p. 190-196 7 p.
    Research output: Contribution to journal › Article › peer-review

2022

  • PublishedA Board Level Intervention to Develop Organisation-Wide Quality Improvement Strategies: Cost-Consequences Analysis in 15 Healthcare Organisations
    Capelas Barbosa, E., Jones, L., Pomeroy, L., Robert, G., Burnett, S., Anderson, J. E., Morris, S. & Fulop, N., Feb 2022, In: International Journal of Health Policy and Management. 11, 2, p. 173-182 10 p.
    Research output: Contribution to journal › Article › peer-review
  • PublishedEvaluation of the NHS General Dental Services Contract Reform Programme in Wales. Interim Report - The views and experiences of patients
    Jones, L., Woods, C., Overs, E., Williams, L., Williams, S. & Burton, C., 1 Apr 2022, Prifysgol Bangor University. 33 p.
    Research output: Book/Report › Commissioned report › peer-review
  • PublishedIncluding a wider range of values in healthcare policy: how can public value evaluation help?
    Jones, L., 30 Nov 2022, In: Future Healthcare Journal. 9, 3, p. 222-225 4 p.
    Research output: Contribution to journal › Article › peer-review
  • PublishedRole of medical leaders in integrated care systems: what can be learnt from previous research
    Jones, L., Armit, K., Haynes, A. & Lees, P., 12 Sept 2022, In: BMJ Leader.
    Research output: Contribution to journal › Article › peer-review

2021

  • PublishedBoundary organising in healthcare: theoretical perspectives, empirical insights and future prospects
    Kislov, R., Harvey, G. & Jones, L., 27 Apr 2021, In: Journal of Health Organization and Management. 35, 2, p. 133-140
    Research output: Contribution to journal › Article › peer-review
  • PublishedSepsis knowledge, skills and attitudes among ward-based nurses
    Edwards, E. & Jones, L., 12 Aug 2021, In: British Journal of Nursing. 30, 15, p. 920-927 8 p.
    Research output: Contribution to journal › Article › peer-review
  • PublishedThe Impossible Clinic. A critical sociology of Evidence‐Based Medicine.
    Jones, L., May 2021, In: Sociology of Health and Illness. 43, 4, p. 1073-1074
    Research output: Contribution to journal › Book/Film/Article review › peer-review
  • PublishedThe role of professional elites in healthcare governance: Exploring the work of the medical director
    Jones, L. & Fulop, N., May 2021, In: Social Science and Medicine. 277, 113882.
    Research output: Contribution to journal › Article › peer-review

2019

  • PublishedEditorial: the importance of sociological approaches to the study of service change in health care
    Fraser, A., Jones, L. & Stewart, E., Sept 2019, In: Sociology of Health and Illness. 41, 7, p. 1215-1220 6 p.
    Research output: Contribution to journal › Editorial › peer-review
  • PublishedExplaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service
    Jones, L., Pomeroy, L., Robert, G., Burnett, S., Anderson, J. E., Morris, S., Capelas Barbosa, E. & Fulop, N. J., 19 Feb 2019, In: BMJ Quality & Safety. 28, 3, p. 198-204 7 p.
    Research output: Contribution to journal › Article › peer-review
  • PublishedExploring the neglected and hidden dimensions of large-scale healthcare change
    Jones, L., Fraser, A. & Stewart, E., Sept 2019, In: Sociology of Health and Illness. 41, 7, p. 1221-1235
    Research output: Contribution to journal › Article › peer-review
  • PublishedInvolving the public in decision-making about large-scale changes to health services: a scoping review
    Djellouli, N., Jones, L., Barratt, H., Ramsay, A., Towndrow, S. & Oliver, S., Jul 2019, In: Health Policy. 123, 7, p. 635-645
    Research output: Contribution to journal › Review article › peer-review
  • PublishedWhat should be in hospital doctors' continuing professional development?
    Jones, L. & Moss, F., 1 Feb 2019, In: Journal of the Royal Society of Medicine. 112, 2, p. 72-77
    Research output: Contribution to journal › Article › peer-review

2018

  • PublishedLocal health and social care responses to implementing the national cold weather plan
    Heffernan, C., Jones, L., Ritchie, B., Erens, B., Chalabi, Z. & Mays, N., 1 Sept 2018, In: Journal of Public Health. 40, 3, p. 461-466 6 p.
    Research output: Contribution to journal › Article › peer-review
  • PublishedPastoral power and the promotion of self-care
    Jones, L., Jul 2018, In: Sociology of Health and Illness. 40, 6, p. 988-1004
    Research output: Contribution to journal › Article › peer-review
  • PublishedThe art and science of non-evaluation evaluation
    Jones, L., Oct 2018, In: Journal of Health Services Research and Policy. 23, 4, p. 262-267
    Research output: Contribution to journal › Article › peer-review

2017

  • PublishedHow do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England
    Jones, L., Pomeroy, L., Robert, G., Burnett, S., Anderson, J. E. & Fulop, N. J., Dec 2017, In: BMJ Quality & Safety. 26, 12, p. 978-986
    Research output: Contribution to journal › Article › peer-review
  • PublishedSedimented Governance in the English National Health Service
    Jones, L., 27 Jul 2017, Decentring Health Policy: : Learning from British Experiences in Healthcare. Bevir, M. & Waring, J. (eds.). Routledge
    Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

2016

  • PublishedEvaluation of the cold weather plan for England: modelling of cost-effectiveness
    Chalabi, Z., Hajat, S., Wilkinson, P., Erens, B., Jones, L. & Mays, N., Aug 2016, In: BMC Public Health. 137, p. 13-9 7 p.
    Research output: Contribution to journal › Article › peer-review
  • PublishedMaintaining the link between methodology and method in ethnographic health research
    Waring, J. & Jones, L., Jul 2016, In: BMJ Quality & Safety. 25, 7, p. 556-557 2 p.
    Research output: Contribution to journal › Article › peer-review
  • PublishedPublic health vulnerability to wintertime weather: time-series regression and episode analyses of national mortality and morbidity databases to inform the Cold Weather Plan for England
    Hajat, S., Chalabi, Z., Wilkinson, P., Erens, B., Jones, L. & Mays, N., Aug 2016, In: BMC Public Health. 137, p. 26-34 9 p.
    Research output: Contribution to journal › Article › peer-review
  • PublishedThe experience of potentially vulnerable people during cold weather: implications for policy and practice
    Jones, L. & Mays, N., Aug 2016, In: BMC Public Health. 137, p. 20-25
    Research output: Contribution to journal › Article › peer-review

2015

  • PublishedEarly evaluation of the Integrated Care and Support Pioneers Programme: Final Report
    Erens, B., Wistow, G., Mounter-Jack, S., Douglas, N., Jones, L., Manacorda, T. & Mays, N., Sept 2015, London: London School of Hygiene and Tropical Medicine.
    Research output: Book/Report › Commissioned report › peer-review
  • PublishedEvaluation of the implementation and health-related impacts of the Cold Weather Plan for England 2012
    Chalabi, Z., Erens, B., Hajat, S., Heffernan, C., Jones, L., Mays, N., Ritchie, B. & Wilkinson, P., 2015, London: London School of Hygiene and Tropical Medicine.
    Research output: Book/Report › Commissioned report
  • PublishedFraming in policy processes: A case study from hospital planning in the National Health Service in England
    Jones, L. & Exworthy, M., Jan 2015, In: Social Science and Medicine. 124, p. 196-204
    Research output: Contribution to journal › Article › peer-review
  • PublishedWhat does a hospital mean?
    Jones, L., Oct 2015, In: Journal of Health Services Research and Policy. 20, 4, p. 254-256
    Research output: Contribution to journal › Editorial › peer-review

2013

  • PublishedAssessment of the implementation of the National Cold Weather Plan for England
    Hajat, S., Chalabi, Z., Wilkinson, P., Erens, B., Jones, L., Ritchie, B., Heffernan, C., Elam, G. & Mays, N., 29 Nov 2013, In: The Lancet. 382, S39, p. 39-39
    Research output: Contribution to journal › Meeting Abstract › peer-review
  • PublishedEarly experiences of any qualified provider
    Jones, L., 16 Aug 2013, In: British Journal of Health Care Management. 19, 5, p. 218 225 p.
    Research output: Contribution to journal › Article › peer-review
  • PublishedImplementing market-based reforms in the English NHS: Bureaucratic coping strategies and social embeddedness
    Jones, L., Exworthy, M. & Frosini, F., Jun 2013, In: Health Policy. 111, 1, p. 52-59
    Research output: Contribution to journal › Article › peer-review

2012

  • PublishedAutonomy and Improved Performance: lessons from NHS policy reform
    Anand, P., Exworthy, M., Frosini, F. & Jones, L., 23 Mar 2012, In: Public Money and Management. 32, 3, p. 209-216
    Research output: Contribution to journal › Article › peer-review

2011

  • PublishedAre NHS foundation trusts able and willing to exercise autonomy? 'You can take a horse to water ...'
    Exworthy, M., Frosini, F. & Jones, L., Oct 2011, In: Journal of Health Services Research and Policy. 16, 4, p. 232-237
    Research output: Contribution to journal › Article › peer-review
  • PublishedDiversity of health care providers
    Allen, P. & Jones, L., Sept 2011, Understanding New Labour's market reforms of the English NHS. Mays, N., Dixon, A. & Jones, L. (eds.). Kings Fund
    Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review
  • PublishedLocal implementation of market reforms
    Dixon, A. & Jones, L., Sept 2011, Understanding New Labour's market reforms of the English NHS. Mays, N., Dixon, A. & Jones, L. (eds.). Kings Fund
    Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review
  • PublishedObjectives and evolution of the NHS system reforms
    Mays, N., Dixon, A. & Jones, L., Sept 2011, Understanding New Labour's market reforms of the English NHS. Mays, N., Dixon, A. & Jones, L. (eds.). London: Kings Fund
    Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review
  • PublishedUnderstanding New Labour's market reforms of the English NHS
    Meys, N. (Editor), Dixon, A. (Editor) & Jones, L. (Editor), Sept 2011, London: Kings Fund.
    Research output: Book/Report › Book › peer-review

2008

  • PublishedManagement of diabetes from preconception to the postnatal period: summary of NICE guidance
    Guideline Development Group, Mugglestone, M. & Cooke, L., 29 Mar 2008, In: BMJ. 336, 7646, p. 714-7 4 p.
    Research output: Contribution to journal › Review article › peer-review

2006

  • PublishedShifting discourses of professionalism: a case study of general practitioners in the United Kingdom
    Jones, L. & Green, J., Nov 2006, In: Sociology of Health and Illness. 28, 7, p. 927-950
    Research output: Contribution to journal › Article › peer-review
  • PublishedWorkforce trends in general practice in the UK: results from a longitudinal study of doctors' careers
    Jones, L. & Fisher, T., Feb 2006, In: British Journal of General Practice. 56, 523, p. 134-6 3 p.
    Research output: Contribution to journal › Article › peer-review

2003

  • PublishedRacism in the medical profession: The experience of UK graduates
    Jones, L., Halford, S. & Leonard, P., 1 Jun 2003, British Medical Association. 14 p.
    Research output: Book/Report › Other report › peer-review

2001

  • PublishedDoctors' professional values: results from a cohort study of United Kingdom medical graduates
    Cooke, L. & Hutchinson, M., Aug 2001, In: Medical Education. 35, 8, p. 735-42 8 p.
    Research output: Contribution to journal › Article › peer-review

1999

  • PublishedEducation and training in the senior house officer grade: results from a cohort study of United Kingdom medical graduates
    Cooke, L. & Hurlock, S., Jun 1999, In: Medical Education. 33, 6, p. 418-23 6 p.
    Research output: Contribution to journal › Article › peer-review

Activities

2024

  • Health and Care Research Summer School

    Summer school aimed at postgraduate and early career researchers. The delegates are a mix of internal, national and international delegates.

    24 Jun 2024 – 26 Jun 2024

    Activity: Participation in Academic workshop, seminar, course (Speaker)

2023

  • Advanced approaches to creating a learning culture

    Free to the public workshop

    23 Nov 2023

    Activity: Participation in Academic workshop, seminar, course (Speaker)

Projects

  • Exploring the views of doctors and pharmacists on the role of newly qualified pharmacists who are able to prescribe from the point of registration: a general practice perspective (First into Research Fellowship [FiRF] Lois Gwyn)

    04/09/2023 – 17/09/2024 (Finished)

  • How do chief medical officers understand, experience and carry out new system leadership roles (ICS CMO) and what impact do they have?

    01/10/2022 – 15/09/2023 (Finished)

  • What changes following the launch of the Patient Safety Incident Response Framework in the English NHS?

    01/05/2022 – 15/08/2025 (Active)

  • A realist evaluation of NHS dental contract pilots across Wales

    01/04/2019 – 31/03/2024 (Finished)

    Links:

    • GDS Reform Evaluation website

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